Brooklyn
market related
Job Title: Specialist Network Manager
Location:
Tshwane Metro, Pretoria, Brooklyn
Job
healthcare providers with special emphasis on specialists
Conduct market analysis to identify potential
adherence to quality and standardsStay informed with relevant healthcare regulations and accreditation
data-driven decisionsPrepare regular reports on key performance indicators and present findings
develop educational materials for membersManage budget and ensure no deviationsEnsure
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Brooklyn
Market related
Job Title: Case Manager - Medical Aid
Location: Tshwane Metro, Pretoria,
of cases that require input from management or the team
Manage telephonic calls and inquiries from
discharge planning early in hospital admissionInform family regarding short-term medical benefits and
partiesComplete and document all relevant informationCommunicate clinical funding recommendations
members, and support staffIdentify and manage complicated and high-cost cases that have a financial
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Brooklyn
Market related
forecasting
Improve the data warehouse reports in conjunction with the BI departmentCollect
and perform actuarial analyses modelling and reporting as requiredAssist in maintaining and
submission to the CMSCompile all utilisation reports to comply with regulatory requirementsCommunicate
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
abilitiesProficiency in data analysis and reportingKnowledge of actuarial modelling and forecasting
share this job on whatsapp
Brooklyn
Market related
forecasting
Improve the data warehouse reports in conjunction with the BI departmentCollect
and perform actuarial analyses modelling and reporting as requiredAssist in maintaining and
submission to the CMSCompile all utilisation reports to comply with regulatory requirementsCommunicate
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
abilitiesProficiency in data analysis and reportingKnowledge of actuarial modelling and forecasting
share this job on whatsapp
Brooklyn
Market related
forecasting
Improve the data warehouse reports in conjunction with the BI departmentCollect
and perform actuarial analyses modelling and reporting as requiredAssist in maintaining and
submission to the CMSCompile all utilisation reports to comply with regulatory requirementsCommunicate
Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and
abilitiesProficiency in data analysis and reportingKnowledge of actuarial modelling and forecasting
share this job on whatsapp
Brooklyn
market related
improvement
Gather and analyse information from a variety of sources to inform business process mapping and
automation opportunities using BPM softwareManage process improvement requirements and ensure that
share this job on whatsapp
Brooklyn
market related
and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
May require handling of sensitive medical informationClosing date: 25 July 2024
share this job on whatsapp
Brooklyn
market related
improvement
Gather and analyse information from a variety of sources to inform business process mapping and
automation opportunities using BPM softwareManage process improvement requirements and ensure that
share this job on whatsapp
Brooklyn
market related
and doctors
Manage operational and clinical tasks within Medicine ManagementRequired
May require handling of sensitive medical informationClosing date: 25 July 2024
share this job on whatsapp
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